Blacker, Deborah L

Blacker, Deborah L is an individual health care provider with primary practice located at 55 Fruit St 149 2691 Massachusetts General Hospital, Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Blacker, Deborah L can be contacted via phone (617) 726-5571.

Contact Information

Primary practice address
55 Fruit St 149 2691 Massachusetts General Hospital Boston MA 02114
Phone: (617) 726-5571
Fax: (617) 726-5760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 55900 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 55900 Massachusetts

Profile Details

NPI number 1205800521
LBN Legal business name Blacker, Deborah L
Credentials MD SCD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205800521 NPPES
Massachusetts MEDICAID 3032663
Massachusetts Other J08006

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